AMNIO-ALLANTOIC FLUID EXCHANGE FOR PREVENTION OF INTESTINAL DAMAGE INGASTROSCHISIS II - EFFECTS OF EXCHANGE PERFORMED BY USING 2 DIFFERENTSOLUTIONS

The prevention of intestinal damage in gastroschisis was reported afte r amnio-allantoic fluid (AAF) exchange using serum saline. However it is not clear why AAF exchange prevents intestinal damage. Are some har mful chemicals withdrawn from AAF by exchange or sodium content of AAF is merely increased? A study was planned to find the end results of A AF exchange performed by using two different solutions in the chicken embryo gastroschisis model. After creation of gastroschisis, three gro ups were studied, In the first group AAF exchange was not performed. I n the second group AAF exchange was performed using 0.075% NaCl soluti on (physiologic saline for chicken). In the third group AAF exchange w as performed using 0.054% NaCl plus 1% dextose solution. Exchange with two different solutions prevented cellular infiltration and fibrous p eel formation in intestines which are observed in the non-treatment gr oup. In the third group, intestinal edema was an additional pathologic finding. This study shows that in gastroschisis, the intestines outsi de the abdominal cavity are very sensitive to the quality of the fluid in which they are bathed. The intestinal damage resembling that encou ntered in human gastroschisis can be prevented by removing the harmful chemicals from AAF by exchange.